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NPI Code Detail

MEDICARE: MRS. WANDA MARIE BARNES LCSW-C

MEDICARE: MRS. WANDA MARIE BARNES LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker14930MD

General Provider Information

NPI Number : 1861684805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WANDA MARIE BARNES LCSW-C
Provider Business Mailing Address
First Line : 6045 SOLOMONS ISLAND RD
Second Line :
City : HUNTINGTOWN
State : MD
Zip : 20639-8876
Country : US
Telephone Number : 410-257-5200
Fax Number : 410-257-2442
Provider Business Practice Location Address
First Line : 6045 SOLOMONS ISLAND RD
Second Line :
City : HUNTINGTOWN
State : MD
Zip : 20639-8876
Country : US
Telephone Number : 410-257-5200
Fax Number : 410-257-2442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 05/07/2009

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Directions to “ MRS. WANDA MARIE BARNES LCSW-C” Practice Location

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